Basic Information
| Provider Information | |||||||||
| NPI: | 1679834675 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DEVENING | ||||||||
| FirstName: | DULANY | ||||||||
| MiddleName: | CATHRYN | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 32 ARNOLD HTS | ||||||||
| Address2: | |||||||||
| City: | WAYNESVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287862977 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8283501177 | ||||||||
| FaxNumber: | 8283501188 | ||||||||
| Practice Location | |||||||||
| Address1: | 669 S HAYWOOD ST | ||||||||
| Address2: | |||||||||
| City: | WAYNESVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287866703 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286313973 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2012 | ||||||||
| LastUpdateDate: | 01/25/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 9029 | NC | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YP2500X | 9029 | NC | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
ID Information
| ID | Type | State | Issuer | Description | 8302320A | 05 | NC | MEDICAID |